giay khai sinh ban chinh mau 2 7 2013

No: 160 Book No: 01/2011 SOCIALIST REPUBLIC OF VIET NAM Independence - Freedom – Happiness BIRTH CERTIFICATE (Original) Full name: LE PHAN HOANG KY Date, month, year of birth: May 20, 2011 Sex: Male In words: The twenty of May, two thousand and eleven Place of birth: Tu Du hopital, Ho Chi Minh city Ethnic group: Kinh Nationality: Vietnam Full name of father: LE HOANG QUY Ethnic group: Kinh Nationality: Vietnam Year of birth: 1984 Permanent/temporary residence: Loc Thanh hamlet, Loc Hung village, Trang Bang district, Tay Ninh province Full name of mother: PHAN THI TUYET LAN Ethnic group: Kinh Nationality: Vietnam Year of birth: 1990 Permanent/temporary residence: Loc Thanh hamlet, Loc Hung village, Trang Bang district, Tay Ninh province Place of registration: PEOPLE’S COMMITTEE Loc Hung village, Trang Bang district, Tay Ninh province Date of registration: June 8, 2011 Remarks: Full name of the birth declarant: LE HOANG QUY Relationship with the birth-declared person: father Executer (signed) Tran Van Buot THE SIGNER OF THE BIRTH CERTIFICATE SIGN FOR THE CHAIRMAN Vice-Chairman (signed and stamped) Nguyen Van Phuc